| Health Lync Medical Group, Inc. | |
|
4955 Van Nuys Blvd Ste 308 Sherman Oaks CA 91403-1811 | |
| (818) 387-6114 | |
| (818) 698-0481 |
| Full Name | Health Lync Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4955 Van Nuys Blvd Ste 308, Sherman Oaks, California |
| Authorized Official Name and Position | Edmond Derderian (CEO) |
| Authorized Official Contact | 6465521547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Lync Medical Group, Inc. 4955 Van Nuys Blvd Ste 308 Sherman Oaks CA 91403-1811 Ph: (818) 387-6114 | Health Lync Medical Group, Inc. 4955 Van Nuys Blvd Ste 308 Sherman Oaks CA 91403-1811 Ph: (818) 387-6114 |
| NPI Number | 1538908967 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 05/29/2024 |
| Medicare PECOS PAC ID | 4587109913 |
|---|---|
| Medicare Enrollment ID | O20240710002338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538908967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Oleg Liakhovetski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154584316 PECOS PAC ID: 5395808281 Enrollment ID: I20090121000140 |
| Provider Name | Keino A Rutherford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497807853 PECOS PAC ID: 0345438008 Enrollment ID: I20101221001136 |
| Provider Name | Edmond V Derderian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114258944 PECOS PAC ID: 2668651340 Enrollment ID: I20110127000049 |
| Provider Name | Desirae A Mutuc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215393384 PECOS PAC ID: 2264721695 Enrollment ID: I20160525000435 |
| Provider Name | Cheryl R Catalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275089641 PECOS PAC ID: 0345528345 Enrollment ID: I20161026001034 |
| Provider Name | James Conrad J Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033586870 PECOS PAC ID: 9436437829 Enrollment ID: I20170303002043 |
| Provider Name | Jason Wiguna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346731767 PECOS PAC ID: 6507289485 Enrollment ID: I20200710001373 |
| Provider Name | Candy Grace Jacome De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548924012 PECOS PAC ID: 1951796143 Enrollment ID: I20220325001080 |
| Provider Name | Harman Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821768839 PECOS PAC ID: 3870972375 Enrollment ID: I20220613002744 |
| Provider Name | Diana Akhverdyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669178661 PECOS PAC ID: 0244694040 Enrollment ID: I20240701003725 |
Gary Schneider D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4835 Van Nuys Blvd Ste 109, Sherman Oaks, CA 91403 Phone: 818-905-9586 Fax: 818-905-0130 | |
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Ali Sheybani Medical Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4955 Van Nuys Blvd, Suite 405, Sherman Oaks, CA 91403 Phone: 818-464-4870 Fax: 818-464-4877 | |
Alberto X. Campain, M.d., A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Van Nuys Blvd., Suite 200, Sherman Oaks, CA 91403 Phone: 818-528-1090 Fax: 818-528-1099 | |
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